ADRIENE SLACKTISH

WILKES BARRE, PA
NPI1336556588
Former NameADRIENE COYLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP013969)
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
-- ADRIENE SLACKTISH CRNP
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-5780
Mailing Address
-- ADRIENE SLACKTISH CRNP
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711-0027
Phone number: 570-808-5780
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